Lola's Chest Pain

I am unbelievably talkative and will
not stop talking about irrelevant details unless I am interrupted. I began
having this sharp chest pain since this morning. I am convinced it is a
pulled muscle from hockey practice so I just want painkillers, even though I
haven't really been playing regularly for the last week (if asked: since I
tore my ACL in my knee). It started quite suddenly and doesn't move anywhere.
It's been there all the time and hasn't really changed since this morning.
It's a little worse when I take a deep breath in or when I've been coughing.
I don't think there's any blood or anything else when I have been coughing. I
have also quite been feeling quite breathless. Changing position and exertion
doesn't change the pain. It's about an 8/10. If specifically asked, yes I
have a dull pain in my leg and tender, swollen and a little red but that's
because of the surgery, right? I have not had any other symptoms including
chest tightness, loss of consciousness, nausea or vomiting, fever or recent infections.

Past Medical History

Nil apart from in hospital for ACL
injury (had surgery to repair)

Drug History

Oral contraceptive pill

Family History

Nil

Social History

I do not smoke but I drink every
weekend with my hockey buddies in excess. I travelled three weeks ago to a
game in France by coach. I have not been too mobile since the surgery.

Introduces yourself

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1

Confirms name & age of patient

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1

Explains reason for consultation
& builds rapport

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1

Gains consent

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1

Asks open question

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1

Establishes site

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1

Asks about onset

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1

Elicits character of pain

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1

Asks if pain radiates

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1

Asks for associated symptoms of
nausea, vomiting and shortness of breath